MRS. JESSICA LORI SHAW (PT) – Physical Therapist, NPI 1689670895

MRS. JESSICA LORI SHAW (PT) is a healthcare provider. based in Chattanooga, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT007002 (GA). The NPI Number for MRS. JESSICA LORI SHAW (PT) is 1689670895

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JESSICA LORI SHAW (PT)
NPI
1689670895
Phone
(423) 622-6200
Address
2415 MCCALLIE AVE
Enumeration Date
22 June 2005
Last Update Date
30 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4236242696
Graduation Year
2000 (26 years ago)
PAC ID
9830119015
Group Practice PAC ID
1254229156
Professional Enrollment ID
I20061020000141
Address ID
TN374043322CH2415XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,334 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN

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Provider Addresses for MRS. JESSICA LORI SHAW (PT)

  • 2415, McCallie Avenue, Highland Park, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States

    CHATTANOOGA, TN 374043322

    Phone: (423) 622-6200

    Fax: (423) 697-2025

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061020000141IPhysical Therapist In Private PracticeTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes7059$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes5648$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1919$0
97530Therapy procedure using functional activities1614$0
View full utilization report →

Insurance plans in this area (ZIP 37404)

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Provider's Procedures

MRS. JESSICA LORI SHAW (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYTN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16086

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254229156View full group profile
NameSpecialtyState
-TN
-TN
-TN
Occupational Therapist In Private PracticeGA
Orthopedic SurgeryTN
Physical Therapist In Private PracticeTN
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

What identifier follows MRS. JESSICA LORI SHAW (PT) across health systems?
The NPI 1689670895 uniquely identifies MRS. JESSICA LORI SHAW (PT) in U.S. healthcare data.
Is MRS. JESSICA LORI SHAW (PT)'s NPI status active today?
Active status means MRS. JESSICA LORI SHAW (PT)'s NPI record is not deactivated in the public file.
Which specialty label fits MRS. JESSICA LORI SHAW (PT)?
NPPES ties MRS. JESSICA LORI SHAW (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. JESSICA LORI SHAW (PT)?
The directory associates MRS. JESSICA LORI SHAW (PT) with Chattanooga, Tennessee. Check all listed addresses for suites or satellite offices.
Why is information missing for MRS. JESSICA LORI SHAW (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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